Evidence map›Paper›PMID 16227760›Full record

ArticleJournal of clinical hypertension (Greenwich, Conn.)2005

The efficacy and safety of low- and high-dose fixed combinations of irbesartan/hydrochlorothiazide in patients with uncontrolled systolic blood pressure on monotherapy: the INCLUSIVE trial.

Joel M Neutel, Elijah Saunders, George L Bakris, William C Cushman, Keith C Ferdinand, Elizabeth O Ofili, James R Sowers, Michael A Weber, INCLUSIVE Investigators

Open access · greenAbstract readControlled Clinical TrialMulticenter Study
In one paragraph

Article in Journal of clinical hypertension (Greenwich, Conn.), 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

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  17. Which thiazide to choose as add-on therapy for hypertension?Integrated blood pressure control · 2014
    Review
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  20. Economic evaluation of irbesartan in combination with hydrochlorothiazide in the treatment of hypertension in Greece.The European journal of health economics : HEPAC : health economics in prevention and care · 2011
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 1 country.

Joel M NeutelOrange County Research Center, Tustin, CA 92780, USA. jmneutel@aol.com
Elijah Saunders
George L Bakris
William C Cushman
Keith C Ferdinand
Elizabeth O Ofili
James R Sowers
Michael A Weber
INCLUSIVE Investigators
Orange County Research Center · USMorehouse School of Medicine · USRush University Medical Center · USState University of New York · USUniversity of Maryland, Baltimore · USUniversity of Missouri · USUniversity of Tennessee at Knoxville · USXavier University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This multicenter, prospective, open-label, single-arm study determined the efficacy and safety of irbesartan/hydrochlorothiazide (HCTZ) fixed combinations in patients (n=1005), aged 18 years and older, with uncontrolled systolic blood pressure (SBP) of 140-159 mm Hg (130-159 mm Hg for type 2 diabetes mellitus) after at least 4 weeks of antihypertensive monotherapy. Treatment was sequential: placebo (4-5 weeks), HCTZ 12.5 mg (2 weeks), irbesartan/HCTZ 150/12.5 mg (8 weeks), and irbesartan/HCTZ 300/25 mg (8 weeks). Enrolled patients (n=844) were aged 57.3+/-11.2 years; 52% were women, 23% were African American, and 14% were Hispanic. Thirty percent had type 2 diabetes mellitus, 46% had metabolic syndrome, and baseline blood pressure was 154.0+/-10.3/91.3+/-8.8 mm Hg. The mean change in SBP from placebo end to the primary end point, Week 18 (intent-to-treat population, n=736) was -21.5+/-14.3 mm Hg (p<0.001). The mean change in diastolic blood pressure (DBP) was -10.4+/-8.7 mm Hg (p<0.001). The mean Week 18 SBP/DBP was 132.9+/-13.8/81.1+/-9.7 mm Hg. Overall, 77% (95% confidence interval, 74%-80%) of patients achieved SBP goal (<140 mm Hg; <130 mm Hg for type 2 diabetes mellitus); 83% (95% confidence interval, 80%-86%) achieved DBP goal (<90 mm Hg; <80 mm Hg for type 2 diabetes mellitus); and 69% (95% confidence interval, 66%-72%) achieved dual SBP/DBP goal. Treatments were well tolerated. This irbesartan/HCTZ treatment regimen achieved SBP goals in more than 75% of patients uncontrolled on monotherapy.

Indexed as

AdultAgedAged, 80 and overAntihypertensive AgentsBiphenyl CompoundsBlood PressureDiabetes Mellitus, Type 2Dose-Response Relationship, DrugDrug CombinationsFemaleHumansHydrochlorothiazideHypertensionIrbesartanMaleMetabolic SyndromeAntihypertensive AgentsBiphenyl CompoundsDrug CombinationsHydrochlorothiazideIrbesartanTetrazoles

Identifiers

PMID16227760
PMCPMC8109614
OpenAlexW2083435278

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.